TADIE REPOLL PHILLIPS


Address: 1213 Marietta Dr W, Mobile, AL 36618-2343
Phone: 2516565207

TADIE REPOLL PHILLIPS (NPI# 1346727872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346727872
Entity Type Individual
Full Name TADIE REPOLL PHILLIPS
Practice Address 1213 Marietta Dr W
Mobile
AL 36618-2343
Practice Telephone 2516565207
Mailing Telephone 2516565207
Enumeration Date 2018-07-26
Last Update Date 2018-07-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1213 MARIETTA DR W
City MOBILE
State AL
Zip Code 36618-2343

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114319944 Gina Deering Pharmacist 5651 Moffett Rd, Suite C, Mobile, AL 36618 2015-03-03
1245510403 Thuy-ngan Thi Duong Pharmacist 5651 Moffett Road, Mobile, AL 36618 2011-08-19
1679852586 Innovative Prosthetic Care, LLC Prosthetic/Orthotic Supplier 1109 Wi-65 Service Rd N, Mobile, AL 36618 2011-08-09
1649454695 Louis James Naman Dentist 4137 Moffelt Rd., Mobile, AL 36618 2007-12-27
1235254277 Amie G Webb Pharmacist 5651 C Moffat Rd, Mobile, AL 36618 2007-03-20
1659431682 Gerald Edward Berger Dentist 5216 Overlook Road, Mobile, AL 36618 2006-12-11
1780779314 Tammy Dubuc Pharmacist 5651 C Moffet Road, Mobile, AL 36618 2006-10-03
1245330711 Dana B Lambert Pharmacist 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 2006-09-25
1861444689 Michael Carl Madden Sr. Family Medicine 7505 Moffett Rd, Mobile, AL 36618 2006-05-17
1518518968 Daniel Loper Clinical Medical Laboratory 3750 Moffett Rd, Mobile, AL 36618-1208 2019-09-26
Find all providers in zip 36618

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114524261 David B Bentley Specialist/Technologist 1121 Williamsburg Dr, Mobile, AL 36695-3541 2020-10-01
1417587171 Matt Benjamin Taylor II Specialist/Technologist 3814 Mordecai Ln, Mobile, AL 36608-2008 2020-01-22
1780155374 Michael Hlavaty Specialist/Technologist 591 Joseph E Gottfriend Dr, Mobile, AL 36688-0001 2018-12-08
1053863407 Amy Pinkham Specialist/Technologist 900 Downtowner Blvd Apt 416, Mobile, AL 36609-9415 2016-11-02
1477005288 Karla Beasley Specialist/Technologist 6001 Usa Dr S, Suite 35, Mobile, AL 36688-0001 2016-10-27
1194093377 Alyse King Specialist/Technologist 591 Joseph E Gottfried Dr, Mobile, AL 36688-0001 2011-12-02
1245565845 Daniel Alan Kertis Specialist/Technologist 8901 Airport Blvd, Mobile, AL 36608-9503 2009-10-15
1649487141 Chad Stefano Specialist/Technologist 1209 Mitchell Ctr, Mobile, AL 36688-0001 2007-05-16
1497967673 William Carroll Specialist/Technologist 5735 College Parkway, Mobile, AL 36613-2842 2007-05-03
1962560557 M and J Horn Inc Specialist/Technologist 9120 Airport Blvd, Suite F, Mobile, AL 36695 2006-12-05
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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